Evidence map›Paper›PMID 29679129›Full record

ReviewDer Nervenarzt2018

[Operative treatment of degenerative diseases of the lumbar spine].

M Czabanka, C Thomé, F Ringel, B Meyer, S-O Eicker, V Rohde, M Stoffel, P Vajkoczy

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Nervenarzt, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. [Lumbar disc herniation].Orthopadie (Heidelberg, Germany) · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 2 countries.

M CzabankaKlinik und Poliklinik für Neurochirurgie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
C ThoméUniversitätsklinik für Neurochirurgie, Medizinische Universität Innsbruck, Innsbruck, Österreich.
F RingelNeurochirurgische Klinik und Poliklinik, Universitätsmedizin Mainz, Mainz, Deutschland.
B MeyerNeurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar der TU München, München, Deutschland.
S-O EickerKlinik für Neurochirurgie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
V RohdeKlinik für Neurochirurgie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
M StoffelKlinik für Neurochirurgie, Helios Klinikum Krefeld, Lutherplatz 40, 47805, Krefeld, Deutschland. michael.stoffel@helios-gesundheit.de.
P VajkoczyKlinik und Poliklinik für Neurochirurgie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
Charité - Universitätsmedizin Berlin · DEHelios Klinikum Krefeld · DEInnsbruck Medical University · ATJohannes Gutenberg University Mainz · DEKlinikum rechts der Isar · DEUniversitätsmedizin Göttingen · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDegenerative diseases of the lumbar spine and associated lower back pain represent a major epidemiological and health-related economic challenge. A distinction is made between specific and unspecific lower back pain. In specific lower back pain lumbar disc herniation and spinal canal stenosis with or without associated segment instability are among the most frequent pathologies. Diverse conservative and operative strategies for treatment of these diseases are available.

objectivesThe aim of this article is to present an overview of current data and an evidence-based assessment of the possible forms of treatment. MATERIAL AND

methodsAn extensive literature search was carried out via Medline plus an additional evaluation of the authors' personal experiences.

resultsConservative and surgical treatment represent efficient treatment options for degenerative diseases of the lumbar spine. Surgical treatment of lumbar disc herniation shows slight advantages compared to conservative treatment consisting of faster recovery of neurological deficits and a faster restitution of pain control. Surgical decompression is superior to conservative measures for the treatment of spinal canal stenosis and degenerative spondylolisthesis. In this scenario conservative treatment represents an important supporting measure for surgical treatment in order to improve the mobility of patients and the outcome of surgical treatment.

conclusionThe treatment of specific lower back pain due to degenerative lumbar pathologies represents an interdisciplinary challenge, requiring both conservative and surgical treatment strategies in a synergistic treatment concept in order to achieve the best results for patients.

Indexed as

Lumbar VertebraeSpinal DiseasesHumansIntervertebral Disc DegenerationIntervertebral Disc DisplacementSpinal StenosisSpondylolisthesisDegenerative spondylolisthesisIndicationsLumbar disc herniationSpinal canal stenosisSpine

Identifiers

PMID29679129
OpenAlexW2801152344

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.